| Challenge (From Literature) | Relevant Text/Excerpt in WHO Pandemic Agreement | Article Number(s) | Degree of Coverage | Notes/Gap Observations |
| Lack of independent monitoring and compliance mechanisms | “A compliance mechanism is hereby established under the authority of the Conference of the Parties (COP) to oversee implementation and promote accountability.” | Art. 19–22 (Compliance and Oversight) | Partial | Introduces compliance framework with self-reporting and peer assessments but lacks independent enforcement powers or sanction mechanisms. |
| Structural vulnerabilities of Least Developed Nations (LDNs) | “Parties shall provide targeted financial and technical assistance to Least Developed Nations to strengthen health systems and expand equitable access to countermeasures.” | Art. 8 (Equity and Support), Art. 15 (Financial and Technical Assistance) | Partial | Explicit reference to LDNs, but mechanisms for funding delivery, monitoring, and representation in COP remain undefined. |
| Weak core health system capacities and preparedness planning | “Parties shall develop and maintain core public health capacities, including essential services, preparedness planning, and surveillance.” | Art. 6 (Core Capacities) | Full | Clear obligations aligned with IHR core capacities and JEEs, but resource dependence and uneven national implementation persist. |
| Intellectual property barriers to equitable access | “A Pathogen Access and Benefit-Sharing (PABS) System shall link pathogen data sharing with equitable access to vaccines, diagnostics, and therapeutics.” | Art. 10 (PABS System) + PABS Annex (draft) | Pending | PABS system under negotiation; lacks defined benefit types, allocation rules, and enforceable technology transfer provisions. |
| Limited operationalization of civil society participation | “Parties shall promote meaningful participation of civil society organizations and communities in pandemic preparedness and response.” | Art. 12 (Preparedness and Multisectoral Engagement) | Partial | Acknowledges CSO role but remains non-binding; lacks procedural guidelines or inclusion guarantees. |
| Weak institutionalization of simulation and preparedness exercises | “Parties shall conduct regular simulation exercises to test national and international readiness.” | Art. 12 (Preparedness and Simulation Exercises) | Partial | Provisions are aspirational without standardized implementation procedures or reporting obligations. |
| Insufficient financing and operational guarantees for equity | “Parties shall promote sustainable and predictable financing for preparedness and equitable access to countermeasures.” | Art. 13 (Sustainable Financing), Art. 18 (Cooperation and Support) | Partial | Financing clauses are general; absence of binding targets or time-bound commitments reduces enforceability. |
| Unclear mechanisms for regional manufacturing and capacity-building | “Parties shall strengthen regional manufacturing capacity for medical countermeasures.” | Art. 18 (Scientific and Technical Cooperation) | Partial | Recognizes need for regional capacity-building but relies on voluntary cooperation; no clear funding or technology-sharing mandates. |